Look up the most recent NPI and PECOS records

Northwest Family Acupuncture

Acupuncturist

Other Service Providers

1622 NW 15th Ave, Portland, OR 97209-2572

PECOS Enrollment

Based on the most recent information from CMS, provider Northwest Family Acupuncture does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1427598135
Provider Type
Organization
Full Name
Northwest Family Acupuncture

Subpart
No
Enumeration Date
2/28/2017
Last Updated
2/28/2017

Contact Information

Practice Location

1622 NW 15th Ave, Portland, OR 97209-2572

(503) 548-7170

Unlisted Fax

Mailing Location

10701 NW Copeland St, Portland, OR 97229-6141

Unlisted Phone

Unlisted Fax

Authorized Official

Hicks, Maria (Owner)

(503) 548-7170

Provider Taxonomies

Code	Description	License
Code 171100000X Primary	Description Acupuncturist Other Service Providers	License 180003 Oregon

Northwest Family Acupuncture

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Smith, Clarissa

Healthy Happy Now Natural Medicine

Vile, Andrew Eric

Rand, Livian Marie

Grey, Charles Rachel

Ward, Laurel

Todd, Mark Wayne

Ensign, Peggy

Dunaif, Donna Marie

Gawlak, Adam